IPAC R. ,,, Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: —i) cN,ec;;Q�) , c. D a -.
ISSUED TO: �A d ^"9 t 1 G )A a M SUBDIVISION i 1, C-- S \) m )i \ 1 c-3 LOT # N
NEW X REPAIR ❑ ri --4yPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Q �`�
Proposed Wastewater System Type: 0 --5010
Projected Daily Flow: t--t (b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes Flo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community—,4< Public ❑ Well Distance from well V0<3 feet Permit valid for: Five years
Permit conditions: _ I-c ❑ No expiration
Authorized State Agent:: Date: 52 1 -,-- d )I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ' aL K of other permits. The permit hol er is re onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp e u Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: l � --, > "0 PROPERTY LOCATION: cam G 0 �2—
SUBDIVISION T! -'�, (= S„ LOT # 11
Facility Type: � �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basem nt Fi res? El Yes C No
Type of Wastewater System ** �.sGl�d Eav �-r t 0 -j 1'6 N- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size uOO� gallons Exact length of each trench IS-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: �--i� inches
Maximum Trench Depth of "�)G —1`C, inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the system type specified is different from the type specifled on the application. / accept the specilcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization 7s subject ation if the site Ian, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sgbtesyeto compliant 'th t visioys he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: '
on ion Authorization Expiration Date: $
HTE # (n `S- 11- Permit # aM��3
Ell
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114.94'
- - - -�ITE� PLAN 4PPROVA
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GRAPHIC SCALE
PREPARED FOR:
15
YBEDROOMS
HeH ONSITE HOMES
0
LOT DATA
�
PAR 10: 9506.990750
ZONING DISTRICT: RA-20R (HARNETT COUNTY)
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LOT AREA =19 7341 SO. FT. OR DASt ACRE
SCALE: 1"=30'
FAYETTEWLLE, NC 28303
IMPERVIOUS SURFACE AREA FOR THIS LOT =27111 SO. FT.
DRAN/NG_
HOUSE.1,583t SO. FT.
CONCRETE DRIVE - 7891 SO. FT.
m
PRFLBtINARY
00 NOT USE iOR
CONSMCTM,
FRONT PORCH = 99t SO. F7.
RECORDATION
REAR PORCH m 963 SO. FT.
v
CONVEYANCES, OR
PATIO - t64t SO. FT.
$4
SAS'
SIDEWALK - 301 SO. FT,
R,
LOT 117
PARCEL IS LOCATED IN FLOOD ZONE X, AS DETERMINED
m
BY FEMA FLOOD PANEL 3720958600. DATED OCTOBER 3,
2006.
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GRAPHIC SCALE
PREPARED FOR:
15
30 60 90
HeH ONSITE HOMES
0
2919 BREEZEWOOD AVE
SUITE 300
SCALE: 1"=30'
FAYETTEWLLE, NC 28303
THE SUMMIT, SECTION
3, MAP
BOOK 2006, PAGE 1116
De .. :
8141.4
PROPOSED SITE PLAN
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scale:
r =3D�
LOT 117
A,�.A zvto V 1 r 1 E
GLM
330 TIMBERLINE DRIVE
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Chk:
DME
BARBECUE TOWNSHIP
E N C3 1 N E G
q:IUh,�rl,rod•.hc.zktins -nc �I -r10 IvcLac- 1a:G'NU
Pro.No:
14255.PE•117
HARNETT COUNTY, NC
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